Massillon Public Library - Outreach Services
Homebound Service Application

If you would like to apply for the Library's Homebound Service, please fill out the following form.

If your browser has difficulty with forms, you may email the required information to juhaszan@massillonlibrary.org, or you may contact the Library at 330-832-9831 ext. 330.

Your name:

Your address:

Your telephone number
(with area code):

Your email address (optional):

Please select the area where you live:

- return to the Outreach Services main page -